Steroids and Antiphospholipid Syndrome- Related Pregnancy Loss
Recruitment status was Not yet recruiting
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Purpose
Does the addition of steroids during the first trimester to the standard aspirin + heparin treatment reduce the miscarriage rates in women with antiphospholipid antibodies and recurrent first trimester miscarriage in those who had an unsuccessful pregnancy with aspirin + heparin?
| Condition | Intervention | Phase |
|---|---|---|
|
Antiphospholipid Syndrome |
Drug: Low dose steroids |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Randomised Controlled Trial of Low Dose Steroid +Aspirin +Heparin Versus Aspirin+Heparin Amongst Pregnant Women With APS |
- Successful pregnancy outcome
| Estimated Enrollment: | 90 |
| Study Start Date: | October 2005 |
Over the last decade, the APS has emerged as most important treatable cause of recurrent miscarriages. The pathogenesis of fetal loss in this condition is still remains obscure. Despite the success of aspirin + heparin treatment, some pregnant women with APS repeatedly miscarry even on treatment. The trial is designed to determine if addition of steroids has an success in these women. This is in view of recent in vitro data from our unit reporting that there is an increase decidual cytokine response in APS positive women.
Eligibility| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
History of 3 or more consecutive miscarriages and positive antiphospholipid antibodies on at least two occasions more than 6 weeks apart before becoming pregnant and an unsuccessful pregnancy with aspirin + heparin with a karyotype of miscarriage either unavailable or normal (46XX/ 46XY).
Exclusion Criteria:
Abnormal karyotype of women or partner, previous thromboembolism, SLE, diabetes mellitus, hypertension, sensitivity to aspirin, heparin and prednisolone, multiple pregnancy.
Contacts and Locations| Contact: Lesley Regan, FRCOG | 02078861050 | l.regan@imperial.ac.uk |
| United Kingdom | |
| St. Mary's Hospital | Not yet recruiting |
| London, United Kingdom, W2 1NY | |
| Contact: Lesley Regan, FRCOG 02078861050 l.regan@imperial.ac.uk | |
| Principal Investigator: | Raj Rai, MRCOG | Imperial College London |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00180778 History of Changes |
| Other Study ID Numbers: | 05/Q0403/155, 2005-004182-42 |
| Study First Received: | September 13, 2005 |
| Last Updated: | September 13, 2005 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Additional relevant MeSH terms:
|
Antiphospholipid Syndrome Autoimmune Diseases Immune System Diseases |
ClinicalTrials.gov processed this record on June 13, 2013